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Paediatric testicular torsion in low- and middle-income countries: an OxPLORE scoping study

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Topic overview

This scoping review examines testicular torsion management in low- and middle-income countries, revealing significant treatment delays, heterogeneous surgical approaches, and limited high-quality evidence. The study highlights urgent need for standardized protocols and multi-center research to improve emergency care delivery for this time-sensitive pediatric surgical condition.

Key takeaways

  • Literature on pediatric testicular torsion in LMICs is scarce, with all 17 studies from middle-income countries providing inadequate evidence.
  • Long delays to treatment remain a critical barrier to testicular salvage in LMIC settings.
  • Significant heterogeneity exists in surgical approaches and diagnostic protocols (scoring systems, Doppler US) across LMICs.
  • Prospective, multi-center research is urgently needed to establish evidence-based management protocols for this common emergency.
  • Timely treatment of testicular torsion serves as a benchmark for adequate pediatric emergency surgical service delivery.

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How to cite: GlobalCastMD. Paediatric testicular torsion in low- and middle-income countries: an OxPLORE scoping study. GlobalCastMD Medical Library. 2024-05-02. https://dev.library.globalcastmd.com/article/8583?via_space=staycurrentmd

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